Cairns Truck School Info Site
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0409 471 817
Machinery Completion Form
Name
First
Last
Email
Phone
Enrolment Date
DD slash MM slash YYYY
Completion Date
DD slash MM slash YYYY
Is Theory Complete?
Yes
No
Trainer/Assessor to Check Off Each Unit as Completed:
RIIMPO317F – Conduct roller operations
RIIMPO318F – Conduct civil construction skid steer loader operations
RIIMPO319E – Conduct backhoe/loader operations
RIIMPO320F – Conduct civil construction excavator operations
RIIMPO321F – Conduct civil construction wheeled front end loader operations
RIIMPO323E – Conduct civil construction dozer operations
RIIMPO301E – Conduct hydraulic excavator operations
RIIMPO304E – Conduct wheel loader operations
RIIMPO308F – Conduct tracked dozer operations
RIIMPO337E – Conduct articulated haul truck operations
RIIMPO206D – Conduct bulk water truck operations
RIIHAN311F – Conduct operations with integrated tool carrier
Collection of Statement of Attainment and Machinery Card:
Pick Up Cairns Truck School
Post In the Mail
What Address?
The address on file
Different Address
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Trainee Certification
I, the trainee certify that:
This assessment is my own work, based on my personal study.
I understand that this is not an open book assessment
I have not copied in part or whole the work of another student.
I have read and understand the criteria used for the assessment.
I take full responsibility for the correct submission of this assessment in the appropriate place with the correct coversheet
Trainee’s signature:
Date
DD slash MM slash YYYY
Trainer/Assessor Signature signature:
Date
DD slash MM slash YYYY
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Address: 8 Spoto Street, Woree QLD 486
Phone: 0407 471 817
Email: info@cairnstruckschool.com
ABN: 93 151 817 284
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